The Boogey Man

You know that thing that keeps you up at night? That thing that hides under your bed or in your closet? It might be hiding in a drawer or even under your pillow if you’re not careful. Of course I’m talking about Diabetes (mostly because I’m not creative enough to keep this elaborate lead-in going).

I still worry about going to sleep and waking up uber-low, or worse, not waking up at all. Teaming up with Hal Jordan has had a lot of great results. High blood glucoses (can you pluralize that?) do not loiter as long as they used to and when they do pop up I have been much more accurate with my corrections so ensure that I return to a happier range without overshooting my target. But I still don’t trust myself or this technology enough when it comes to sleeping.

I rarely feel comfortable or safe going to sleep with a #bgbed between 100-120. As my Lantus works to balance out my Dawn Phenomenon I fear that it will kick into overdrive – so I eat. Technically it’s just a small something before I go to bed, I’m not having Ben & Jerry’s or anything, but it’s something substantial enough to raise my blood glucose. And this throws the rest of the night off. I’ll get an alarm at 5am and see a slow creeping line approaching 200. I’ll correct and have to suffer through another hour or more of alarms as my blood glucose peaks and slowly rides back down.

Up, Up, Up and awaaaaaaay

This happens a bit too frequently for my liking. But I can’t get past the snack before bed until I get past the fear of sleep. And something tells me that will be an epic struggle.

Diabetes = Fear of Sleep. That makes total sense…ugh.

4 thoughts on “The Boogey Man

  1. When I was on MDI, it didn’t matter when I took my lantus I inevitably and ALWAYS went low, constantly throughout the night. I used to eat peanut butter and nutella before bed, or chug syrup. Anything high in carbs and fat to sustain my BG. I was terrified to go to bed with a blood sugar that even came close to resembling “normal” as that would mean severe hypos all night. It wasn’t until I started pumping that I was free from eating before sleep. I rested for the first time. I sympathize with you on this. Now that you have a CGM you can REALLY see what’s going on and hopefully find something that works for you. Best of luck.

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  2. I have only recently faced this bogeyman. I have a pump — which might make this easier — but there’s something that helped: Look at the amount of active insulin (insulin on board, IOB) that you have and then decide whether to snack.

    If it’s been a few hours since I last ate and my BG is “good” but I have a fair bit of IOB, then I’ll have a snack. Otherwise, I’ve been trying to trust that the insulin is going to do the right thing, and I won’t have an extra snack.

    Good luck staring down your boogey man.

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  3. Diabetes sure can equal fear of sleep. What about the idea of chipping away at your fear in small chunks? Start slow, have just one bite LESS of whatever it is you eat at night, keep progressing like that until you are where you want to be.

    Dunno, just a thought. And that is coming from a guy who is masterful at delivering advice, but still doesn’t have his own diabetes sh*t together. :-)

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